Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines on the Evaluation and Treatment of Patients With Thoracolumbar Spine Trauma: Classification of Injury.

Authors

• Andrew T Dailey
• Paul M Arnold
• Paul A Anderson
• John H Chi
• Sanjay S Dhall
• Kurt M Eichholz
• James S Harrop
• Daniel J Hoh
• Sheeraz Qureshi
• Craig H Rabb
• P B Raksin
• Michael G Kaiser
• John E O'Toole

Publication/Presentation Date

1-1-2019

Abstract

QUESTION 1: Are there classification systems for fractures of the thoracolumbar spine that have been shown to be internally valid and reliable (ie, do these instruments provide consistent information between different care providers)?

RECOMMENDATION 1: A classification scheme that uses readily available clinical data (eg, computed tomography scans with or without magnetic resonance imaging) to convey injury morphology, such as Thoracolumbar Injury Classification and Severity Scale or the AO Spine Thoracolumbar Spine Injury Classification System, should be used to improve characterization of traumatic thoracolumbar injuries and communication among treating physicians. Strength of Recommendation: Grade B.

QUESTION 2: In treating patients with thoracolumbar fractures, does employing a formally tested classification system for treatment decision-making affect clinical outcomes?

RECOMMENDATION 2: There is insufficient evidence to recommend a universal classification system or severity score that will readily guide treatment of all injury types and thereby affect outcomes. Strength of Recommendation: Grade Insufficient The full version of the guideline can be reviewed at: https://www.cns.org/guideline-chapters/congress-neurological-surgeons-systematic-review-evidence-based-guidelines/chapter_2.

Volume

84

Issue

1

First Page

24

Last Page

24

ISSN

1524-4040

Published In/Presented At

Dailey, A. T., Arnold, P. M., Anderson, P. A., Chi, J. H., Dhall, S. S., Eichholz, K. M., Harrop, J. S., Hoh, D. J., Qureshi, S., Rabb, C. H., Raksin, P. B., Kaiser, M. G., & O'Toole, J. E. (2019). Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines on the Evaluation and Treatment of Patients With Thoracolumbar Spine Trauma: Classification of Injury. Neurosurgery, 84(1), E24–E27. https://doi.org/10.1093/neuros/nyy372

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

30202904

Department(s)

Administration and Leadership

Document Type

Article